Russell L Ellis
Sports Medicine
1103 16th Ave Se
Decatur
, Alabama 35601-3595
Russell L Ellis
Sports Medicine
1103 16th Ave Se
Decatur
, Alabama 35601-3595
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Russell L Ellis
- 1103 16th Ave Se
- Decatur, AL
- Zip : 35601-3595
- Phone :
Second Address
- Russell L Ellis
- 1103 16th Ave Se
- Decatur, AL
- Zip : 35601-3595
- Phone : (256) 350-0362
Reviews
FAQs
Where did Russell L Ellis attend graduate school?
Where did Russell L Ellis do his residency?
Where did Russell L Ellis do his fellowship?
Is Russell L Ellis board certified?
What type of doctor is Russell L Ellis
In what state does Russell L Ellis practice in?
Where is Russell L Ellis ’s practice located?
What is Russell L Ellis ’s gender?
Is Russell L Ellis a sole practitioner?
Is Russell L Ellis accepting new patients?
What languages does Russell L Ellis speak?
Does Russell L Ellis accept insurance?
Does Russell L Ellis offers telemedicine?
What is Russell L Ellis ’s professional license number?
What is Russell L Ellis ’s NPI number?
Does Russell L Ellis have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 00022020 | AL |
| Y | 213ES0000X | Sports Medicine | 00022020 | AL |
National Provider Identifier
| NPI | 1134292766 |
|---|---|
| Provider Name | Russell L Ellis |
| First Address | Decatur, AL 35601-3595 |
| Second Address | Decatur, AL 35601-3595 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2006 |
| Last Update Date | 22/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 51507394 | BLUECROSS BLUESHIELD OF A (01) | AL |
| H46954 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.